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Individual

MRS. JUNE LASSITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-1331
Mailing address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-1331

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-054817
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-054817
AL

Other

Enumeration date
04/27/2015
Last updated
02/19/2021
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